Stroke thrombotysis: Barriers to implementation

Stroke is a frequent emergency faced by Emergency Department (ED) staff. Evidence produced from significant trials has led to the introduction of stroke thrombolysis across the world. Campaigns to increase public awareness that 'stroke is a medical emergency,' have led to emergency departments facing necessary adjustment, re-allocation of resources and education of staff. From a review of the associated literature, barriers to implementation of the service include; non-recognition of stroke, inappropriate triage of these patients by both ED staff and ambulance personnel, delays in obtaining neuro-imaging, and inefficient processes of in-hospital emergency stroke care. Further study is required to review the educational needs and resource management, as well as the efficacy of the public education in stroke. (C) 2010 Elsevier Ltd. All rights reserved.